| NPI | 1962970939 | 
|---|---|
| Former Name | JENNIFER SHUMILOFF | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: CA 95027614) | 
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: OH 412369) | 
| 363LA2100X Nurse Practitioner, Acute Care (Licence: OH 024214) | |
| Enumeration Date | 2018-11-08 | 
| Last Update Date | 2024-01-02 |